Provider Demographics
NPI:1992172852
Name:CASTLE, LAUREN NICHOLE (PHARMD, MS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:NICHOLE
Last Name:CASTLE
Suffix:
Gender:F
Credentials:PHARMD, MS
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:NICHOLE
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3625 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45420-2438
Mailing Address - Country:US
Mailing Address - Phone:734-735-5902
Mailing Address - Fax:
Practice Address - Street 1:3625 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-2438
Practice Address - Country:US
Practice Address - Phone:734-735-5902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233690183500000X
MI5302039358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist